# DAHLSTROMS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** lakeside market
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275860785
- **Authorized official:** MR. JOHN O DAHLSTROM (PRESIDENT)
- **Authorized official phone:** (715) 468-2319

## Contact information

- **Practice address:** 37 5TH AVE, SHELL LAKE, WI 54871-0236
- **Practice address phone:** (715) 468-2319
- **Practice address fax:** (715) 468-4140
- **Mailing address:** 37 5TH AVE, PO BOX 236, SHELL LAKE, WI 54871
- **Mailing address phone:** (715) 468-2319
- **Mailing address fax:** (715) 468-4140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2009
- **Last updated:** 11/05/2009